Jobs at PacificSource Health Plans

Administer and enhance the Workday HRIS, including configuration, workflows, security, integrations, reporting, data integrity, testing, troubleshooting, and release management. Partner with HR, IT, vendors, and business leaders on HR systems projects, compliance reporting, and process improvements. Provide guidance, training, and issue resolution to Workday users while maintaining confidentiality and regulatory compliance.

Provides healthcare analytics and reporting support for reinsurance, employer, ASO, value-based payment, RFP, and regulatory requirements. Extracts, cleans, transforms, validates, and analyzes data; develops Tableau and Power BI visualizations; calculates value-based payment terms; supports financial reconciliation, cost-saving initiatives, quality assurance, and process improvement. Collaborates across departments, documents processes, presents findings, and ensures accurate, timely reporting while maintaining HIPAA confidentiality.

Provides data extraction, transformation, visualization, reporting, and analysis for value-based payments, reinsurance, employer proposals, ASO groups, and regulatory requests. Supports financial reconciliation, data validation, quality assurance, documentation, process improvement, and cost/utilization analysis. Collaborates across departments to present complex findings clearly while maintaining accurate, timely reporting and protecting confidential healthcare information.

Directs actuarial pricing for Commercial and Medicare Advantage business, including premium rates, bids, rate filings, pricing models, risk analysis, forecasting, and regulatory certifications. Leads actuarial staff, oversees hiring and performance, supports budgeting and P&L goals, partners with Underwriting, Product, Sales, and Finance, and drives process improvement and strategic initiatives.

Directs actuarial pricing for Commercial and Medicare Advantage business, including premium rates, bids, rate filings, pricing models, risk analysis, forecasting, reserving, and regulatory certifications. Leads actuarial analysts and actuaries, oversees hiring and performance, supports financial and enrollment goals, collaborates with underwriting, sales, finance, and product teams, and drives process improvement and strategic initiatives.

Directs actuarial pricing for Commercial and Medicare Advantage lines, including premium rate development, bids, rate filings, pricing models, risk analysis, forecasting, and regulatory certifications. Leads actuarial staff, oversees hiring and performance, supports financial planning and loss-ratio goals, and collaborates with Underwriting, Product Development, Sales, and Finance. Requires actuarial leadership, regulatory compliance, process improvement, and strategic decision-making.

Directs actuarial pricing for Commercial and Medicare Advantage business, including premium rates, bids, rate filings, pricing models, forecasting, risk adjustment, and financial analysis. Leads actuarial staff, oversees hiring and performance, ensures regulatory and actuarial standards compliance, and partners with Underwriting, Product Development, Sales, Finance, and P&L leaders to support financial and enrollment goals.

Directs actuarial pricing for Commercial and Medicare Advantage business, including rate development, bids, filings, pricing models, risk analysis, forecasting, and financial planning. Leads actuarial staff, oversees hiring and performance, ensures regulatory compliance, supports reserving and risk adjustment activities, and partners with underwriting, sales, finance, and product teams to achieve enrollment and financial goals.

Provides front desk and telephone coverage, greets and directs visitors, routes calls, coordinates office vendors and maintenance, receives premium payments, maintains supplies and lobby standards, performs clerical duties, and supports emergency communication while protecting confidential health information under HIPAA.